| NPI | 1215432885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028256) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3012155) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3012155) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2021-01-22 |