NPI | 1770905226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0027466) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.413108) |
164W00000X Licensed Practical Nurse (Licence: OH PN138244) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027466) | |
Enumeration Date | 2014-01-16 |
Last Update Date | 2022-01-12 |