NPI | 1003577313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0030098) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH APRN.CNP.0030098) |
Enumeration Date | 2022-01-08 |
Last Update Date | 2022-01-26 |