| NPI | 1922449859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.14699-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.14699) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14699) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2019-06-25 |