| NPI | 1588290456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71017011A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209034453) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-03-18 |