| NPI | 1245670116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 18494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F0613462) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2017-09-12 |