| NPI | 1619448495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023269) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012611) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2019-04-01 |