| NPI | 1871945717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021932) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012832) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3012832) | |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2024-02-19 |