| NPI | 1053694497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012053A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN 338906) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2022-03-24 |