| NPI | 1881160885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71008392A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 025845) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2019-11-05 |