| NPI | 1205137700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9422520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN306208 COA11977) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2018-08-20 |