| NPI | 1750783379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OH COA.16594-NS) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OH 16594) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2022-03-02 |