NPI | 1265917124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9391238) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0038127) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9391238) | |
Enumeration Date | 2018-09-26 |
Last Update Date | 2024-12-17 |