| NPI | 1356711139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP17837) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.17837) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 17837) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2018-06-12 |