NPI | 1457502502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 1457502502) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN330349) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2016-09-07 |