| NPI | 1164435582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.04543) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP04543) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71000324A) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-01-10 |