| NPI | 1770905226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.0027466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.413108) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN138244) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0027466) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2022-01-12 |