| NPI | 1346680626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 345430) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1104363) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3008656) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2024-04-10 |