| NPI | 1881904019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 337824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 76574) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2014-11-06 |