| NPI | 1851035612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013473A) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-06-06 |