NPI | 1144661745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA14726NP) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA-14726) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2022-07-21 |