| NPI | 1841609088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRNCNP16548) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.316441) |
| 363L00000X Nurse Practitioner (Licence: OH COA 16548) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2023-12-12 |