NPI | 1245305051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.08082) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA 08082 NP) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2018-10-02 |