| NPI | 1154747483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005370A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15166.NP) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2016-06-13 |