| NPI | 1295385904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014554) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.314474) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.024538) | |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2020-05-26 |