NPI | 1447263793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA03610NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN173657) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2014-04-10 |