| NPI | 1134434095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 11673-NP) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2015-05-06 |