| NPI | 1437877412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014867A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0030207) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2025-04-29 |