| NPI | 1497463285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0032733) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.415532) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-29 |