| NPI | 1801161013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035186) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13190) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004148A) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2024-03-08 |