| NPI | 1689109407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OH APRN.CNS.019335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.334661) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2017-04-30 |