| NPI | 1083019483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.16507) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 16507) |
| 363L00000X Nurse Practitioner (Licence: KY 3009051) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2021-01-14 |