| NPI | 1083219489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025331) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.025331) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.025331) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2025-09-02 |