| NPI | 1699082602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA13392NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 710002798A) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2017-03-23 |