| NPI | 1962710228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005311A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA11467NP) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2015-01-19 |