| NPI | 1275199598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11034164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 839179) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310743) | |
| 163W00000X Registered Nurse (Licence: OH RN.417931) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024777) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2025-09-12 |