NPI | 1225539828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030366) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WV APRN72448-AGPCNP-BC) |
Enumeration Date | 2018-02-28 |
Last Update Date | 2024-07-10 |