NPI | 1275775496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP014600) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN.348289) |
Enumeration Date | 2009-04-02 |
Last Update Date | 2022-01-12 |