| NPI | 1174132070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3015990) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH LE-00033347) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2021-04-15 |