| NPI | 1457961773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030328) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4019251) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 2019084692) | |
| 363L00000X Nurse Practitioner (Licence: IN 71015040A) | |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2025-07-03 |