| NPI | 1730502683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014391A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 15070) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA 15070-NP) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2024-12-17 |