| NPI | 1346629771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16770-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN185687) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |