NPI | 1396704763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP00603) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN150849) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2010-05-24 |