| NPI | 1730586405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH RN.132820) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 16363) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2021-10-04 |