| NPI | 1649561788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 35357) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4008581) | |
| Enumeration Date | 2011-04-24 |
| Last Update Date | 2024-08-12 |