| NPI | 1447351598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 07668-NP) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-06-29 |