NPI | 1457612442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA 13869- NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN358987) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2017-03-01 |