| NPI | 1649538562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28132818A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 14515NP) |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2024-10-11 |