| NPI | 1679093850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP022606) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022606) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28242617A) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-05-09 |