| NPI | 1699382580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.0027563) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.0027563) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2024-10-10 |