NPI | 1013460641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 019598) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 357243) |
Enumeration Date | 2016-08-01 |
Last Update Date | 2016-08-01 |