| NPI | 1396127015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007497A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17480-NP) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2020-12-31 |