| NPI | 1114274883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0029939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN362959) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2022-02-15 |