| NPI | 1891785309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.01665) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN143805) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN-143805) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2021-02-01 |