| NPI | 1801040811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 10441NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AK 1203) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2018-08-23 |