| NPI | 1336263995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN.241482-COA1) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH RN.241482-COA1) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-06-27 |