| NPI | 1790073179 |
|---|---|
| Former Name | MONICA ELIZABETH SLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 14496) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R193147) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011158) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2020-07-01 |