| NPI | 1407251523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.16815) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN317714) |
| 363L00000X Nurse Practitioner (Licence: OH COA16815NP) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2022-01-07 |