| NPI | 1811364888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005963A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18021-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026071) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2023-03-14 |