| NPI | 1932463551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008881) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 13372) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2017-03-07 |