| NPI | 1720234578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4012331) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030049) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN 118798-IV) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2024-01-19 |