| NPI | 1659559797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1449912) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 10433) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2015-06-12 |