| NPI | 1154087781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3016985) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0030197) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2023-05-10 |