| NPI | 1376916361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH coa.18373-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010987) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2022-01-14 |