| NPI | 1487805669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 12131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009969) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2014-11-03 |