NPI | 1043556103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 14236NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 326129) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2024-09-26 |