NPI | 1013280767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.13143) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.13143-NP) |
Enumeration Date | 2012-02-10 |
Last Update Date | 2020-12-09 |