| NPI | 1699288357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011870) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1125179) |
| 163W00000X Registered Nurse (Licence: OH RN.421894) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022022) | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-12-19 |