NPI | 1275764086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 024476) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN345825) |
Enumeration Date | 2009-07-29 |
Last Update Date | 2019-09-14 |