| NPI | 1720453392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009874) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2022-08-24 |