| NPI | 1952598401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA07974-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28140549) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2011-08-19 |