| NPI | 1306166772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.09858-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3005423) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2019-10-25 |