NPI | 1124484399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.18335) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71009285A) |
Enumeration Date | 2016-01-04 |
Last Update Date | 2021-05-18 |