NPI | 1720668650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0028167) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028167) |
363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209021951) | |
363L00000X Nurse Practitioner (Licence: IL 209021951) | |
Enumeration Date | 2021-04-13 |
Last Update Date | 2024-10-12 |