| NPI | 1639146665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 08023) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 12273) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH RN.303147) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ND 201359) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2026-03-31 |