| NPI | 1518384569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 15735-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3008676) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2016-08-01 |