| NPI | 1245623230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH AG1214053) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: OH AG1214053) |
| 364SG0600X Clinical Nurse Specialist Gerontology (Licence: OH AG1214053) | |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2022-03-04 |