| NPI | 1285179911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP020537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28176901a) |
| 163W00000X Registered Nurse (Licence: OH 432444) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28176901a) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2019-06-24 |