| NPI | 1881019214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024524) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 400060) |
| 363L00000X Nurse Practitioner (Licence: IN 71014933A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3014454) | |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2024-09-10 |