NPI | 1073060448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019847) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.019847) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.019847) | |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH LE-00004357) | |
Enumeration Date | 2016-09-02 |
Last Update Date | 2018-07-25 |