| NPI | 1033542170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 15386) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008278) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2026-07-30 |