| NPI | 1073906939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127680) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2018-01-17 |