| NPI | 1053004044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH 0034076) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 482184) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: OH 0034076) | |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-06-13 |