| NPI | 1730482704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3008106) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH rn. 327426) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.14795-NP) | |
| 163W00000X Registered Nurse (Licence: KY 1112280) | |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2015-06-04 |