| NPI | 1649744384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0027743) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.454549) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2020-10-16 |