NPI | 1902823818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN rn0000088671) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN apn0000006571) |
163W00000X Registered Nurse (Licence: OH 329944) | |
363LF0000X Nurse Practitioner, Family (Licence: OH 9931) | |
Enumeration Date | 2006-07-16 |
Last Update Date | 2009-11-06 |