NPI | 1013602622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0033627) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH APRN.CNP.0033627) |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-04-10 |