| NPI | 1407108764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015439A) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2024-11-05 |