| NPI | 1073346961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0037148) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0037148) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0037148) | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-10-15 |