| NPI | 1295379782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0029166) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1126012) |
| 163W00000X Registered Nurse (Licence: OH RN.362117) | |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3016032) | |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2024-01-02 |