| NPI | 1588262059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015320) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2023-10-19 |