| NPI | 1972834372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004045A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH COA 11300-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 11300-NP) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2017-09-06 |