NPI | 1528466075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH COA16908NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN270584) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2021-01-25 |