| NPI | 1659829240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006628A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.368468) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006628A) | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2024-11-07 |