| NPI | 1134117104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 200712) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH NP-18472) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-09-18 |