| NPI | 1134540412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.15502-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY RN.308338) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.15502-NP) | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-11-17 |