NPI | 1326640103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0027633) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.336295) |
163W00000X Registered Nurse (Licence: KY 1161941) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3015187) | |
Enumeration Date | 2020-11-16 |
Last Update Date | 2021-07-28 |