| NPI | 1124540455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038282) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007587A) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2025-01-09 |