| NPI | 1275674509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.18286 RX) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 08481 NP) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2014-11-24 |