| NPI | 1902349772 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0040200) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN002369) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1075580) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013911A) | |
| Enumeration Date | 2016-11-28 | 
| Last Update Date | 2025-10-02 |