NPI | 1063815587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 244156) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 244156) |
Enumeration Date | 2014-09-29 |
Last Update Date | 2020-11-20 |