| NPI | 1497130272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005663A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN241804) |
| 163W00000X Registered Nurse (Licence: IN 28213412A) | |
| 363L00000X Nurse Practitioner (Licence: IN 71005663A) | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2023-11-07 |