NPI | 1750758959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.17999-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.17999-NP) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.17999-NP) | |
Enumeration Date | 2015-08-24 |
Last Update Date | 2022-03-03 |