| NPI | 1114471851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010904) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 300) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WV APRN99171-AGPCNP-BC) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.020896) | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2021-10-27 |