| NPI | 1386153179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011724) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2018-09-26 |