| NPI | 1578482816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4061550) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0041987) |
| 363L00000X Nurse Practitioner (Licence: OH 0041987) | |
| Enumeration Date | 2026-07-11 |
| Last Update Date | 2026-08-05 |