| NPI | 1386026557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 019848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009364) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2016-09-22 |