| NPI | 1144998212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016745) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1153778) |
| 163W00000X Registered Nurse (Licence: OH 498039) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029892) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2022-06-29 |