| NPI | 1598791865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-08844) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 24876) |
| 363L00000X Nurse Practitioner (Licence: PA SP009840) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2012-06-11 |