| NPI | 1710582291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRNCNP0027726) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0027726) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRNCNP0027726) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-09 |