| 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 | 2025-09-11 |