| NPI | 1811327448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 15029) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2016-04-26 |