| NPI | 1861824641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OH COA.10495-NS) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.306069-COA1) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |