NPI | 1801040977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH RN 337886) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OH rn 337886) |
363LF0000X Nurse Practitioner, Family (Licence: OH 024461) | |
Enumeration Date | 2008-11-15 |
Last Update Date | 2019-05-01 |