NPI | 1669735312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN.239947) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN239947) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.020647) | |
Enumeration Date | 2012-06-18 |
Last Update Date | 2019-10-13 |