| NPI | 1780777623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP07304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN174208) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-02-07 |