NPI | 1093131666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP15288) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP15288) |
Enumeration Date | 2014-03-06 |
Last Update Date | 2018-03-16 |