| NPI | 1225520117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0033756) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011786) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011786) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-05-24 |