NPI | 1790285161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRNCNP021073) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRNCNP021073) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRNCNP021073) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRNCNP021073) | |
Enumeration Date | 2018-02-12 |
Last Update Date | 2025-04-04 |