| NPI | 1043681133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18223) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009989) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2019-12-05 |