| NPI | 1801321559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022266) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.406050) |
| 163W00000X Registered Nurse (Licence: KY 1170998) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3015798) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2023-11-08 |