NPI | 1528476397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CTP16147) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 16147) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2020-11-20 |