| NPI | 1114367562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1029921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN373159) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2019-02-17 |