| NPI | 1194976647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9429352) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA10205NP) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2018-12-04 |