| NPI | 1235381666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN12781) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28199650A) |
| 163W00000X Registered Nurse (Licence: OH RN207607) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2023-05-08 |