NPI | 1205301884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.023830) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.344104) |
Enumeration Date | 2018-10-10 |
Last Update Date | 2019-01-30 |