| NPI | 1700241817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.19110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 393284) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.19110) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.19110) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.19110) | |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2024-04-26 |