NPI | 1316219397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.13124) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 18736) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2024-10-12 |