| NPI | 1114367752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP14692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 350580) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-12-27 |