| NPI | 1881169357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012676) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012676) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023980) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2023-08-07 |