| NPI | 1508233289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.18010-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.18010-NP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.18010-NP) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2016-10-27 |