NPI | 1528236650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP 17420) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN286523) |
Enumeration Date | 2008-02-12 |
Last Update Date | 2018-01-19 |