| NPI | 1083490858 |
|---|---|
| Former Name | CHEYENNE THALER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4008945) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4008945) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0034728) | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-26 |