| NPI | 1477101038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012170) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4011685) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-07-25 |