| NPI | 1871017475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021210) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.363029) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71014165A) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2023-11-07 |