NPI | 1639136732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN138323) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 03154) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2007-07-08 |