| NPI | 1174546089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15012) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA15012-NP) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP1944642) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-03-12 |