NPI | 1205483435 |
---|---|
Former Name | CATHERINE MUDD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.025975) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.347058) |
Enumeration Date | 2019-08-22 |
Last Update Date | 2023-05-10 |