NPI | 1144739459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 021818) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH 021818) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH 021818) | |
Enumeration Date | 2017-09-29 |
Last Update Date | 2018-03-17 |