| NPI | 1548040397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4010106) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-06-11 |