| NPI | 1750509642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.17178) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 309419) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-02-15 |