| NPI | 1104306661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009933A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.428732) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023565) | |
| 163W00000X Registered Nurse (Licence: IN 28217139A) | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-09-27 |