| NPI | 1053119560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0038279) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 4018531) |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |