| NPI | 1023045952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV 41174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH NP.11195) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2016-08-23 |