| NPI | 1669167557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0031778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY F03220460) |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-07 |