| NPI | 1962667691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10459) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5634P) |
| 363L00000X Nurse Practitioner (Licence: OH 10459) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-03-30 |