| NPI | 1710404652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP021525) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 021525) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 021525) | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-10-03 |