| NPI | 1790551281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035427) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: OH 281035) |
| 251E00000X Home Health (Licence: OH 1761HHS) | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |