NPI | 1942422365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 190421) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP02281) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2007-07-08 |