NPI | 1457111031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0037306) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0037306) |
163W00000X Registered Nurse (Licence: OH RN.519099) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0037306) | |
Enumeration Date | 2024-03-20 |
Last Update Date | 2024-09-08 |