| NPI | 1023590528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRNCNP025160) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.357830) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2020-02-06 |