| NPI | 1215271606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020987) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990810) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2018-05-09 |