| NPI | 1861566515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP05962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN248416) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP05962) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-05-21 |