| NPI | 1821597113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012932) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 021359) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021359) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3012932) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRn.CNP.021359) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2024-03-29 |