| NPI | 1336561752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008069A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 15344-NP) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2018-07-17 |