| NPI | 1437644101 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.023054)  | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH LE-00024563)  | 
| Enumeration Date | 2018-06-26 | 
| Last Update Date | 2021-01-19 |