| NPI | 1144630047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15660) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008621) |
| 363L00000X Nurse Practitioner (Licence: OH COA.15660-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3008621) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15660-NP) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2019-01-14 |