| NPI | 1649059437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034709) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4010253) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034709) | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-03-18 |