| NPI | 1407001050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 10948NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005733P) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2019-01-28 |