| NPI | 1134640725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.19071) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: OH 19071) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2024-08-20 |