NPI | 1346882974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0031107) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 856862) |
Enumeration Date | 2019-10-15 |
Last Update Date | 2022-05-05 |