| NPI | 1326122698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH RN149151-COA-2) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OH RN149151) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |