NPI | 1366502304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP07882) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD5059) |
363L00000X Nurse Practitioner (Licence: OH RN286846) | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2023-08-02 |