| NPI | 1437780582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3014132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 026004) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-02-17 |