NPI | 1033684014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.023511) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704372033) |
163WE0003X Registered Nurse, Emergency (Licence: OH RN.372039) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704372033) | |
Enumeration Date | 2018-10-05 |
Last Update Date | 2023-11-03 |