NPI | 1871916056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.15669) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 375310) |
363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.15669-NP) | |
Enumeration Date | 2014-01-24 |
Last Update Date | 2023-12-12 |