NPI | 1891455325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 2021182892) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025956) |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH 10190061) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN.339635) | |
Enumeration Date | 2021-12-23 |
Last Update Date | 2024-05-02 |