| NPI | 1396116307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0028103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.482283) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN274372) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2023-10-03 |