| NPI | 1841511979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003253A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 28159502A) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2025-10-15 |