NPI | 1376028472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 63000) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH .023678) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2025-01-24 |