| NPI | 1265801245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.021164) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.273706) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.021164) | |
| Enumeration Date | 2015-09-19 |
| Last Update Date | 2020-03-13 |