| NPI | 1932719747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0027384) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WV 107009) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2022-04-09 |