| NPI | 1790225969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020430) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY ARNP 3011028) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |