NPI | 1245296797 |
---|---|
Professional Name | R. DEMERISE OTT MINOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 766) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC APN766) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2023-04-12 |