| NPI | 1174073852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 27272) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 27272) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH cnp 019825) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2024-10-27 |