| NPI | 1679028245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 019882) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9365063) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 1121703) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-02-21 |