| NPI | 1013528256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033969) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010376A) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-07-08 |