NPI | 1760596951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 02334-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN184865) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2012-01-20 |