| NPI | 1225552326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017660) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0031263) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007434A) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-05-18 |