| NPI | 1518100353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 363LF0000X) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28183517A) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2024-02-01 |