| NPI | 1992312623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP0030247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015372) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN F10171062) | |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2022-01-12 |