| NPI | 1689127029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 307753) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 307753) |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2019-09-23 |