| NPI | 1447896568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010982A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 025912) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2021-04-30 |