| NPI | 1003285966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA 18008 NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 1085551) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH RN 227407) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2017-11-17 |