| NPI | 1629399696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003136) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28156677) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA13460) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2023-09-11 |