| NPI | 1962954347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.019752) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.019752) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OH APRN.CNP.019752) | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-01-25 |