| NPI | 1265600811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007224A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN-306310) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71007224A) | |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2018-02-26 |