NPI | 1760688287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.00194) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.167394) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2018-01-29 |