NPI | 1275199598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024777) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 839179) |
163W00000X Registered Nurse (Licence: OH RN.417931) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310743) | |
Enumeration Date | 2019-05-13 |
Last Update Date | 2022-06-28 |