NPI | 1447532833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.12350-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.369479-COA1) |
Enumeration Date | 2011-09-13 |
Last Update Date | 2011-09-13 |