| NPI | 1568043677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016901A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00035956) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2025-08-13 |