| NPI | 1720514789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011326) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-08-02 |