| NPI | 1649968603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1124932) |
| 163W00000X Registered Nurse (Licence: OH 397611) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0033546) | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |