| NPI | 1649741075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.023962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH APRN.CNP.023962) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2021-01-12 |