| NPI | 1205696887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0038700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 392984) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-08-25 |