| NPI | 1518088640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 78977) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP-05114) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-05-23 |