NPI | 1013523745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310144) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.025695) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.025695) | |
Enumeration Date | 2020-09-17 |
Last Update Date | 2021-03-24 |