| NPI | 1952881575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4016316) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: OH RN.373513) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.023854) | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2024-05-08 |