| NPI | 1659467983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP-03654) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA TP003052H) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-10-24 |