| NPI | 1851838320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024386) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007254A) |
| 163W00000X Registered Nurse (Licence: IN 28203780A) | |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2024-07-18 |