| NPI | 1023606944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28231560A) |
| 163W00000X Registered Nurse (Licence: OH 346788) | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-06-28 |