| NPI | 1033199120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2698552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 17321-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3010266) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2021-03-24 |