| NPI | 1295371169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025862) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP021163) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP021163) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.025862) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP021163) | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2021-02-16 |