| NPI | 1598233157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.024609) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.024609) |
| 163W00000X Registered Nurse (Licence: OH RN288497) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2019-05-13 |