| NPI | 1174180582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28216491A) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-07-28 |