NPI | 1619123478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.10474-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 291690) |
363LF0000X Nurse Practitioner, Family (Licence: OH NP-10474) | |
163WD0400X Registered Nurse, Diabetes Educator (Licence: OH RN291690) | |
Enumeration Date | 2008-08-13 |
Last Update Date | 2015-09-16 |