| NPI | 1134718984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015604) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2022-11-14 |