| NPI | 1205199387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17183) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007522) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2022-08-01 |