| NPI | 1245090927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 2024029054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.519572) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-07-02 |