NPI | 1376167148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0026874) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 417372) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2022-05-05 |