| NPI | 1376902247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030680) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2022-08-22 |