| NPI | 1508561697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.0032589) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.0032589) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2024-03-06 |