| NPI | 1770871337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 7100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.019787) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2017-02-09 |