| NPI | 1194100420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH COA.17841-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: OH COA.17841-NP) |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: OH COA.17841-NP) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |