| NPI | 1649668476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009072) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0033717) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3009072) | |
| Enumeration Date | 2015-01-01 |
| Last Update Date | 2023-06-12 |