| NPI | 1770260663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4009913) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: OH RN.501815) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2025-08-19 |