| 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 |