| NPI | 1134878481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0031532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.364508) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-10-24 |