NPI | 1043060528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0036197) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0036197) |
Enumeration Date | 2024-03-26 |
Last Update Date | 2024-10-12 |