| NPI | 1750351235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 070907-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 50504) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN248517 NP05747) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2017-02-27 |