| NPI | 1063859098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 2138) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 14441) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2017-02-07 |