| NPI | 1245840024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0027523) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH LE-00033452) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-08-16 |