NPI | 1538537949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0026781) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0026781) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP8634) | |
Enumeration Date | 2015-09-02 |
Last Update Date | 2023-07-13 |