| NPI | 1730154212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-11350) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN170174) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2013-05-21 |