| NPI | 1235359811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA13291-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ RN165955/NP3903) |
| 363L00000X Nurse Practitioner (Licence: MO 068729) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2015-09-22 |