| NPI | 1255454500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN367046) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN960469) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-03-01 |