| NPI | 1811882095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71016768A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0041845) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2026-06-01 |