| NPI | 1740648013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.18694) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.18694-NP) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA 18694 NP) | |
| 363L00000X Nurse Practitioner (Licence: OH APRNCNP18694) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.18694-NP) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2022-10-11 |