| NPI | 1225035223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003153) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP-5172) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3153) | |
| 363L00000X Nurse Practitioner (Licence: OH 05172) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2012-02-15 |