NPI | 1629676457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027778) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0027778) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0027778) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0027778) | |
Enumeration Date | 2020-10-14 |
Last Update Date | 2025-08-12 |