| NPI | 1922531573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023633) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1117128) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2018-10-10 |