| NPI | 1598847303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP09029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 0390472) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 43068) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |