| NPI | 1851736946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.14501) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN.356824) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH RN.356824) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2023-11-06 |