| NPI | 1033721147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016902) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2024-05-07 |