| NPI | 1447752209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3012903) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012903) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022424) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3012903) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2021-02-22 |