NPI | 1427205269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH CNP.021645) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN. 342785) |
Enumeration Date | 2008-08-22 |
Last Update Date | 2020-11-09 |