| NPI | 1396746145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71008045A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP08024) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-01-04 |