NPI | 1710239173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.13481-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.318361-COA1) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OH RX.13481-EX1) | |
Enumeration Date | 2012-10-10 |
Last Update Date | 2012-10-10 |