| NPI | 1194355982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013160A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 325894) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2023-03-24 |