NPI | 1568135200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029222) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.486282) |
163W00000X Registered Nurse (Licence: KY 1140884) | |
363L00000X Nurse Practitioner (Licence: KY 3016243) | |
Enumeration Date | 2021-07-28 |
Last Update Date | 2021-07-28 |