NPI | 1366468316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.02593-NP) |
Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: OH RN160813) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2012-09-26 |