NPI | 1437543006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.17089) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 225202) |
Enumeration Date | 2015-03-22 |
Last Update Date | 2024-04-02 |