| NPI | 1093713737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP.254774) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP-07200) |
| 363L00000X Nurse Practitioner (Licence: KY 3003914) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2016-03-30 |