| NPI | 1760886378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN323882) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA 16736 NP) | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2021-10-29 |