NPI | 1902463573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.024825) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.264016) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2022-04-25 |