| NPI | 1720432651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH AG1015001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN225721) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |