| NPI | 1962242081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0038434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 847822) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2026-03-20 |