NPI | 1457017303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030587) |
Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: KY 1125803) |
163WN0800X Registered Nurse, Neuroscience (Licence: OH RN.405469) | |
208100000X Physical Medicine & Rehabilitation (Licence: KY 1125803) | |
363L00000X Nurse Practitioner (Licence: KY 3017195) | |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030587) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 3017195) | |
Enumeration Date | 2021-11-15 |
Last Update Date | 2022-02-09 |