| NPI | 1689165912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH AG02180152) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH AG02180152) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-11-06 |