| NPI | 1114260270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.14358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.268487) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.14358-NP) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2020-08-25 |