| NPI | 1649935107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 2021036701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017074) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0030402) | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-01-06 |