| NPI | 1053819136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022232) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013930) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022232) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2021-11-22 |