| NPI | 1740649607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP18863) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2022-04-29 |