| NPI | 1851005854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3018895) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033066) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3018895) | |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-02-21 |