| NPI | 1508373374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1174271) |
| 163W00000X Registered Nurse (Licence: OH RN.409647) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3016590) | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2024-02-13 |