| NPI | 1659808558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP020769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011176) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |