| NPI | 1083022529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011668) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.345067) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2024-01-12 |