| NPI | 1851609549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 11930NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006700) |
| 363L00000X Nurse Practitioner (Licence: OH 11930NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3006700) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2021-10-06 |