| NPI | 1477246767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0036039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.441276) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0036039) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0036039) | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2026-01-28 |