NPI | 1689996274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA1145NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN166982) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2011-07-05 |