NPI | 1053004044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0034076) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 482184) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0034076) | |
Enumeration Date | 2023-05-26 |
Last Update Date | 2023-06-13 |