| NPI | 1043879158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009188A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28215851A) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036978) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-08-13 |