| NPI | 1215632559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4005316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 115910) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033570) | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-08-03 |