| NPI | 1861036139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025403) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3016560) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-06-18 |