NPI | 1780113381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.020964) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH 020964) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2020-11-17 |