| NPI | 1689055634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.17279-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.17279-NP) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2017-03-08 |