| NPI | 1144601410 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA 17711 NP) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4042864) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN.363366) | |
| 163W00000X Registered Nurse (Licence: KY 4042864) | |
| Enumeration Date | 2015-06-12 | 
| Last Update Date | 2025-10-12 |