| NPI | 1548693807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008180) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2024-03-18 |