| NPI | 1770897514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.11637-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28214923A) |
| 146D00000X Personal Emergency Response Attendant (Licence: OH COA 11637-NP) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2023-07-18 |