| NPI | 1467780502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020020) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 3886-033) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020020) | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2018-03-17 |