| NPI | 1457997637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.026036) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH Le-00030619) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2024-10-11 |