| NPI | 1518295435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 11228) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006243) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2015-09-30 |