| NPI | 1124441605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.15621-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: OH COA.15621-NP) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2018-09-10 |