| NPI | 1588872253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 024390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 400308) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-06-28 |