| NPI | 1932520822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010308) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15273-NP) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2021-07-22 |