| NPI | 1174076962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 019477) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 373054) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 019477) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2025-06-23 |