| NPI | 1457967978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012375A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00034065) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-05-20 |