| NPI | 1316711849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015855A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.463710) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035354) | |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-11-22 |