NPI | 1861743544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.14069) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 384590) |
Enumeration Date | 2012-09-21 |
Last Update Date | 2018-05-08 |