| NPI | 1881182632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.022912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.307815) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-06-11 |