| NPI | 1780123562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.023032) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.023032) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2025-06-10 |