NPI | 1548602154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 14798) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 244220) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2013-07-24 |