NPI | 1386012185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 022594) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 446222) |
163W00000X Registered Nurse (Licence: NC 255719) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5008093) | |
Enumeration Date | 2015-09-10 |
Last Update Date | 2018-06-06 |