| NPI | 1528466075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA16908NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN270584) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2021-01-25 |