| NPI | 1679105266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 025691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014311) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2023-12-29 |