| NPI | 1760870307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010614) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: OH COA.16907-NP) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-07-27 |