| NPI | 1629414974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.14685) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN 379647) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2023-06-29 |