| NPI | 1013682186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029232) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017266) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-05-07 |