| NPI | 1407191273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15417) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007803) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2020-01-02 |