NPI | 1649689639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 16056-NP) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 16056-NP) |
Enumeration Date | 2014-08-05 |
Last Update Date | 2020-11-13 |