| NPI | 1518377522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005480A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.15839-NP) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2025-10-15 |