| NPI | 1487869319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028598) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 2721719) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-02-10 |