| NPI | 1447691985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KY 3008711) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH 217733) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2015-03-04 |