| NPI | 1003401936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028290) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016081) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2023-12-12 |