| NPI | 1598852493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3001926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN137334 NP06001) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-11-30 |