| NPI | 1669977062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007978A) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-04-19 |