| NPI | 1700130564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 14047-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007486A) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2023-05-25 |