| NPI | 1407287923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.15429-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010652) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2023-08-31 |