| NPI | 1669735312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN.239947) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN239947) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.020647) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2019-10-13 |