| NPI | 1700695772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0037813) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4027690) |
| 363L00000X Nurse Practitioner (Licence: OH 0037813) | |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2025-02-27 |