| NPI | 1750690871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA15365NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN0000148368) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2013-11-18 |