NPI | 1902186851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.12570-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP12570) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2015-12-18 |