| NPI | 1679569941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000639A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17744-NP) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2023-09-05 |