| NPI | 1831637362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020334) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011135) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 020334) | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2024-01-31 |