NPI | 1609173152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA 12146 NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 251676) |
Enumeration Date | 2011-02-18 |
Last Update Date | 2016-06-06 |