| NPI | 1255409108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 09096) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4967P) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-04-27 |