| NPI | 1528420650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN.273729) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH RN.273729) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2021-03-08 |