| NPI | 1952555187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10911) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5769P) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2024-02-29 |