| NPI | 1003459561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009864A) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH APRN.CNM.019414) |
| 163W00000X Registered Nurse (Licence: OH RN.446639) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-08-29 |