| NPI | 1912546565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4008438) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.379875) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026392) | |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2023-10-02 |