| NPI | 1760871214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009131) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16917) | |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2022-10-06 |