| NPI | 1427203793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002685A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-220845) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.08453) | |
| 163W00000X Registered Nurse (Licence: IN RN-28087051) | |
| Enumeration Date | 2008-11-29 |
| Last Update Date | 2024-04-29 |