| NPI | 1679914832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 15410-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008124) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2018-11-14 |