| NPI | 1053943134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRNCNP025919) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: OH AG0919006) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2021-10-13 |