| NPI | 1639450596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005457A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 13326-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71005457A) | |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3007066) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2023-03-07 |