| NPI | 1285186114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011757) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: OH RN340501) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2021-03-15 |