| NPI | 1699261040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023102) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 023102) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-08-08 |