| NPI | 1093332868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3014400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 026951) |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2022-04-04 |