NPI | 1306047022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH NP-09897) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN. 295742) |
163WH0200X Registered Nurse Home Health (Licence: OH RN. 295742) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2024-09-30 |