| NPI | 1134521875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017245) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN390184) |
| 163W00000X Registered Nurse (Licence: KY 59985) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2022-01-12 |