| NPI | 1942848684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033860) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH AG05230042) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH AG05230042) | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2024-02-02 |