NPI | 1962248500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036928) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0036928) |
Enumeration Date | 2024-07-03 |
Last Update Date | 2024-07-03 |