NPI | 1992777932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN268214-COA08862) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN 862) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2007-07-09 |