| NPI | 1730227398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008410) |
| Additional Taxonomies | 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 | 2023-09-07 |