| NPI | 1528549706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012525) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186523) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2023-11-03 |