| NPI | 1700548344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN0030002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 0030002) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH LE-00038292) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH aprn0030002) | |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2024-03-15 |