| NPI | 1235715061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0028655) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0028655) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0028655) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2022-04-20 |