| NPI | 1851151583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0036617) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.519077) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-06-13 |