| NPI | 1033445697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 10956-NP) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2015-05-20 |