| NPI | 1356756241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA. 1611-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA. 1611-NP) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |