NPI | 1407003718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-05919) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 461971) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2008-08-19 |