| NPI | 1316313109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 17503) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP030729) |
| 363L00000X Nurse Practitioner (Licence: IN 71015947A) | |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2024-12-09 |