| NPI | 1649964107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: KY 4036265) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.0033951) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2025-08-26 |