| NPI | 1609301894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3018527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020720) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP020410) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2023-04-04 |