| NPI | 1467933077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023724) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.446017) |
| 163W00000X Registered Nurse (Licence: IN 28202723A) | |
| 363L00000X Nurse Practitioner (Licence: IN 71008671A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3017268) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2023-09-27 |