| NPI | 1093043820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY APRN.CNP.11337) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 6276P) |
| 363L00000X Nurse Practitioner (Licence: OH 11337) | |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2025-04-18 |