| NPI | 1497293377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006732A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH APRN.CNP.020251) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-05-09 |