| NPI | 1750757746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17565) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 2014009614) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2020-07-01 |