NPI | 1861649584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA10174) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R170636) |
Enumeration Date | 2008-08-25 |
Last Update Date | 2010-05-24 |