| NPI | 1548012255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28261495A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.402704) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |