| NPI | 1861674384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 11368-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005246) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2013-06-14 |