NPI | 1962817312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16246-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN308634) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2015-09-18 |