| NPI | 1861948119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010372) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010372) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029826) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-09-24 |