| NPI | 1356634281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9333865) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA11582) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2014-01-16 |