NPI | 1639533433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0038411) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP130182) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2025-03-31 |