| NPI | 1750758959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.17999-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.17999-NP) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: OH COA.17999-NP) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2022-03-03 |