| NPI | 1972126217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010033A) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-02-02 |