| NPI | 1124655295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH AG01200182) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH AG01200182) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2021-06-30 |