| NPI | 1508990540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008468) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15543) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-09-26 |