NPI | 1679976328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.16703-NP) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.16703-NP) |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.16703-NP) | |
Enumeration Date | 2014-10-08 |
Last Update Date | 2017-08-08 |