NPI | 1417250325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.12395) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 338962) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2020-12-10 |