| NPI | 1932483245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005737A) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-03-05 |