| NPI | 1376288894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013540A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0031246) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2023-03-01 |