| NPI | 1710558994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0029255) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 326447) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0029255) | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-11-16 |