| NPI | 1043791635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023018) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71008662A) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2024-07-01 |