| NPI | 1871844548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16396) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007705) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA 16396 NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 1103375) | |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2023-03-21 |