NPI | 1700340999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024175) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN-414956) |
227900000X Respiratory Therapist, Registered (Licence: OH RCP.6494) | |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-05-10 |