| NPI | 1992212211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.020726) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020726) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2025-08-21 |