| NPI | 1073524872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CNP-019647) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV rn48140) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-12-31 |