| NPI | 1992998215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0028058) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN358224) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2022-01-31 |