| NPI | 1386046134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 17343 NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28218777A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005147A) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2017-07-13 |