NPI | 1417353939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.16716-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.16716-NP) |
Enumeration Date | 2014-11-11 |
Last Update Date | 2016-12-09 |