| NPI | 1851649958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH f0612933) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2020-12-06 |