| NPI | 1518239144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP#12729-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY ARNP#3007219) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2019-12-13 |