| NPI | 1851653588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009334A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 355248) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2025-12-17 |