NPI | 1982330221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH LE-00042648) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH RN.399775) |
Enumeration Date | 2022-07-28 |
Last Update Date | 2022-07-28 |