| NPI | 1194981969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-10092) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2020-12-14 |