| NPI | 1043546443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010453) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA14433NP) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2013-06-17 |