| NPI | 1508362765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009072A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 022593) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2019-07-11 |