| NPI | 1023538899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNO.020744) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007241A) | |
| 163W00000X Registered Nurse (Licence: IN 28234858A) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-04-01 |