NPI | 1700548344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN0030002) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 0030002) |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH LE-00038292) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH aprn0030002) | |
Enumeration Date | 2021-10-11 |
Last Update Date | 2024-03-15 |