| NPI | 1437126703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA-07287-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9406470) |
| 363L00000X Nurse Practitioner (Licence: OH 07287) | |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2016-06-10 |