| NPI | 1689671703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COANP4982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 53939) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2011-01-07 |