| NPI | 1356833149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4048490) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022842) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.022842) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2025-12-10 |