NPI | 1801264411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020364) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.361065-1) |
363LF0000X Nurse Practitioner, Family (Licence: OH COA.17705-NP) | |
Enumeration Date | 2015-09-14 |
Last Update Date | 2021-10-16 |