| NPI | 1750741724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH 020763) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9348481) |
| 364SG0600X Clinical Nurse Specialist Gerontology (Licence: OH 020763) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2018-05-14 |