| NPI | 1427087857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012078) |
| Additional Taxonomies | 247200000X |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN CNP 019769) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-01-04 |