NPI | 1639599277 |
---|---|
Former Name | ERIN MICHELLE GARDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.16273) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN356439) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2020-11-16 |