| NPI | 1588755268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 072289-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN259925) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-06-15 |