| NPI | 1003390287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008614A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28194949A) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036430) | |
| 363L00000X Nurse Practitioner (Licence: MI 4704416532) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71008614A) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2025-01-14 |