| NPI | 1508978206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 035551021) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH 0355510-21) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-04-09 |