NPI | 1649563818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 303050) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 026081) |
Enumeration Date | 2011-05-20 |
Last Update Date | 2021-08-18 |