| NPI | 1952880593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.022897) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 022897) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 022897) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.022897) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2022-01-25 |