| 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 |