| NPI | 1063782589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP481207) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.137189-M-IV) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2023-09-05 |