| NPI | 1548670722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 15665) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005176A) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2023-11-08 |