| NPI | 1851830368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CNP.020534) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY CNP 3011229) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-04-28 |