NPI | 1316437155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IN 71008985A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023291) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RN.450092) | |
Enumeration Date | 2018-05-17 |
Last Update Date | 2021-02-04 |