| NPI | 1881258523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.025191) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025191) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.025191) | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2022-02-17 |