| NPI | 1457959900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.0035202) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2024-06-19 |