NPI | 1760847644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.18460) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.18460-NP) |
372600000X Adult Companion (Licence: OH RN240372-1) | |
Enumeration Date | 2015-12-21 |
Last Update Date | 2024-10-12 |