NPI | 1467841700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0038234) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 662890) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126537) | |
Enumeration Date | 2015-01-09 |
Last Update Date | 2025-01-20 |