| NPI | 1013523745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.025695) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310144) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.025695) | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2026-06-18 |