| NPI | 1811992274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9372494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 07808NP) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2014-01-28 |