| NPI | 1396406112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.397112) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 111884) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2024-06-05 |