| NPI | 1114300217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP17586) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.17586-NP) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-02-01 |