| NPI | 1912412925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA G186835) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA G186835) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022085) | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2025-11-26 |