| NPI | 1588147755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008505A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 339336) |
| 163W00000X Registered Nurse (Licence: IN 28147890A) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-03-08 |