| NPI | 1245907484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030971) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1164558) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3016623) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-12-28 |