| NPI | 1114584018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0031276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014714) |
| 363L00000X Nurse Practitioner (Licence: KY 3014714) | |
| Enumeration Date | 2019-05-26 |
| Last Update Date | 2025-11-25 |