| NPI | 1639889199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032986) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.463511) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3018927) | |
| Enumeration Date | 2022-11-24 |
| Last Update Date | 2023-03-31 |