| NPI | 1881818128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA.08884-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.08884-NP) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-01-09 |