| NPI | 1093823999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 07659 NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 4141) |
| 163W00000X Registered Nurse (Licence: OH RN 288717) | |
| 363L00000X Nurse Practitioner (Licence: OH NP 7659) | |
| 363L00000X Nurse Practitioner (Licence: KY 1052513) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-07-07 |