NPI | 1285783217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH RN260594) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN260594) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2017-02-03 |