| NPI | 1114303559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007000A) |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2021-05-14 |