| NPI | 1528304946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.15979-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.348015) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA. 15979-NP) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2015-02-23 |