| NPI | 1306088398 |
|---|---|
| Other Name | DELORIS MITCHUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 10446) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 170371) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |