| NPI | 1972334100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019894) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4035984) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-03-10 |