NPI | 1831799543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030903) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH .426594) |
Enumeration Date | 2020-10-30 |
Last Update Date | 2022-04-14 |