| NPI | 1184020836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH COA.16797-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 7101639A) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NE 116082) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: WI 16582-33) | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2025-08-12 |