| NPI | 1487280483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 5379266121) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026540) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2022-11-30 |