NPI | 1710558994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0029255) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 326447) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0029255) | |
Enumeration Date | 2021-07-08 |
Last Update Date | 2021-11-16 |