| NPI | 1649981671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3018616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 0032753) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-29 |