| NPI | 1710299367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.01074) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA01074-NP) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OH NS-01376) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2018-09-25 |