NPI | 1043894876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0028852) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH R.N.421853) |
Enumeration Date | 2021-05-07 |
Last Update Date | 2021-11-11 |