NPI | 1386420313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.0038855) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4007154) |
Enumeration Date | 2023-09-06 |
Last Update Date | 2025-04-30 |