| NPI | 1356564058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH AG06250153) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH AG06250153) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2026-01-15 |