| NPI | 1356077226 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH CNP.0031873)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0031873)  | 
| Enumeration Date | 2022-07-25 | 
| Last Update Date | 2022-07-29 |