| NPI | 1215677166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3017539) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3017539) |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0030691) | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-11-09 |