| NPI | 1740510239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006934) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006934) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA11222-NP) | |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2023-05-08 |