| NPI | 1891398145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028081) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71012493A) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2022-10-14 |