| NPI | 1609202928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14892) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004605A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004605A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14892) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2024-04-05 |