| NPI | 1922463363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OH COA.18214-NS) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH COA.18214-NS) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |