| NPI | 1104956259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH ARNP.CNP.0031627) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH ARNP.CNP.0031627) |
| 374U00000X Home Health Aide (Licence: OH 2678455) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2024-01-29 |