NPI | 1508314139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.019960) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: OH RN.362860) |
Enumeration Date | 2016-09-12 |
Last Update Date | 2016-11-03 |