| NPI | 1275021131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.022824) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.343590) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022824) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-10-11 |