| NPI | 1154477297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP 01274) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1997 P) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |