| NPI | 1649481078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024169411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 09436) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2017-09-05 |