| NPI | 1518361880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16692-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1136746) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2023-02-14 |