| NPI | 1457017303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030587) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: KY 1125803) |
| 163WN0800X Registered Nurse, Neuroscience (Licence: OH RN.405469) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 1125803) | |
| 363L00000X Nurse Practitioner (Licence: KY 3017195) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030587) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3017195) | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2022-02-09 |