| NPI | 1861263352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039282) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014910A) |
| 163WG0000X Registered Nurse, General Practice (Licence: IN 28249252A) | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2025-06-30 |