NPI | 1699092668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.10613NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH CAO10613NP) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2016-10-19 |