NPI | 1487181574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.020558) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.020558) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020558) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.020558) | |
Enumeration Date | 2017-05-19 |
Last Update Date | 2025-05-08 |