| NPI | 1548686835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011356A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN309612) |
| 363L00000X Nurse Practitioner (Licence: OH COA 15645NP) | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2021-09-22 |