NPI | 1023824760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OH 04028) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: OH 03960) |
Enumeration Date | 2024-12-07 |
Last Update Date | 2024-12-07 |