| NPI | 1508331000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2341598) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN-CNP.023738) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN-CNP.023738) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN-CNP.023738) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2021-05-04 |