NPI | 1790580686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0037707) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4010708) |
Enumeration Date | 2025-02-15 |
Last Update Date | 2025-02-15 |