| NPI | 1851060057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016190) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.0029684) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2023-03-29 |