NPI | 1578207684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0031758) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN.436405) |
Enumeration Date | 2022-04-25 |
Last Update Date | 2022-10-25 |