| NPI | 1417269309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.022402) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022402) |
| 363L00000X Nurse Practitioner (Licence: KY 3015759) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2024-04-10 |