| NPI | 1184034555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.15082) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.15082) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.15082) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2017-04-18 |