NPI | 1033145248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH COA.06923-MP) |
Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: OH RN-160618) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2015-02-18 |