| NPI | 1790310647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY APRN.CNP.4015060) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026498) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY APRN.CNP.4015060) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026498) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2024-02-12 |