| NPI | 1629550942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0033464) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012620) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2025-01-31 |