| NPI | 1144853664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024601) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71009788A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.024601) | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2024-02-21 |