| NPI | 1770038481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP19226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011736) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704410527) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2024-06-12 |