| NPI | 1558639831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH 16812) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: OH RN180312) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2025-03-12 |