| NPI | 1821278789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5328P) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035291) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2025-06-25 |