| NPI | 1134310824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 237831) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 09489) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2016-06-27 |