NPI | 1033240031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH CNP.09893) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH rn190839) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2021-01-11 |