NPI | 1033580121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 18328-NP) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 364987) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-23 |