| NPI | 1588484927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0037888) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 459403) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2025-10-02 |