| NPI | 1710566104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0031682) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: OH 429966) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2022-09-06 |