NPI | 1588042634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA18048NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 344884) |
Enumeration Date | 2015-05-09 |
Last Update Date | 2015-08-28 |