| NPI | 1710429113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.020944) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2020-07-14 |