| NPI | 1174754485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0038148) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2025-12-17 |