| NPI | 1902823818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN rn0000088671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN apn0000006571) |
| 163W00000X Registered Nurse (Licence: OH 329944) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 9931) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2009-11-06 |