| NPI | 1174993521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.025881) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71005738A) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2019-11-08 |