| NPI | 1760847644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.18460-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.18460-NP) |
| 372600000X Adult Companion (Licence: OH RN240372-1) | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2019-03-07 |