| NPI | 1659777985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA16667-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9490847) |
| 207Q00000X Family Medicine (Licence: FL 9490847) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034107) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3008921) | |
| 363L00000X Nurse Practitioner (Licence: KY 3008921) | |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2023-08-30 |