| NPI | 1952869216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024301) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3015840) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3015840) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2022-12-01 |