| NPI | 1548240252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP-04111) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OH NS-06334) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2011-07-12 |