NPI | 1174132070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3015990) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH LE-00033347) |
Enumeration Date | 2020-07-27 |
Last Update Date | 2021-04-15 |