| NPI | 1366828428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.17724-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.17724-NP) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2020-11-23 |