| NPI | 1235512740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28237994A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009439) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3009439) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17493-NP) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2021-02-09 |