| NPI | 1336131614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN262226) |
| 163WW0000X Registered Nurse, Wound Care (Licence: KY 1074586) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06510) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2023-11-29 |