| NPI | 1982128302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011391) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021147) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021147) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011391) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2021-09-28 |