| NPI | 1043442064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023464) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH RN279299) |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: OH RN279299) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.023464) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2023-11-03 |