| NPI | 1528601044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025544) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025544) |
| 363L00000X Nurse Practitioner (Licence: IN 71009516A) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-01-04 |