| NPI | 1538139068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.04325-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP-04325) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2016-07-27 |