| NPI | 1255855391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.021341) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.021341) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021341) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2025-10-09 |