NPI | 1336263995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN.241482-COA1) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH RN.241482-COA1) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2011-06-27 |