| NPI | 1144335654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA-111250NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28133158A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71002040A) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2015-06-11 |