| NPI | 1770928749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA14445, RN 296632) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA14445, RN296632) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-06-17 |