NPI | 1508996091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRNCNP02235) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 153460) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2017-03-14 |