NPI | 1730227398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008410) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06441) |
363L00000X Nurse Practitioner (Licence: NC 5020120) | |
363L00000X Nurse Practitioner (Licence: RI APRN04252) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: OH Rn196-451, NP06441) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3008410) | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2025-08-19 |