NPI | 1548601693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.14837) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP14837) |
Enumeration Date | 2013-07-17 |
Last Update Date | 2024-10-12 |