| NPI | 1770917635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.299599) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28132302A) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2021-05-18 |