| NPI | 1306506217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029858) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2024-01-26 |