| NPI | 1982321881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.516239) |
| 163W00000X Registered Nurse (Licence: IN 28243925A) | |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2024-01-02 |