| NPI | 1043840531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025440) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013804) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |