| NPI | 1063010338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH LE-00032229) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3016579) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2021-08-25 |