NPI | 1730469495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 12454NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12454NP) |
Enumeration Date | 2011-08-25 |
Last Update Date | 2012-12-06 |