| NPI | 1295386951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31950) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 025698) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: OH 025698) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 31950) | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2023-07-19 |