| NPI | 1265190797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.406870) |
| 163W00000X Registered Nurse (Licence: KY 1158545) | |
| 163W00000X Registered Nurse (Licence: IN 28265784A) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030019) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71012060A) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-04-02 |