| NPI | 1689038010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.020233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3010231) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-01-10 |