| NPI | 1205373552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.020385) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.364815) |
| 163W00000X Registered Nurse (Licence: KY 1112420) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020385) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.020385) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011264) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3011264) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-04-14 |