| NPI | 1427456193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16788) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 16788-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3009970) | |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2023-02-14 |