| NPI | 1013348556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15198-np) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN46922-NP-C) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2024-08-12 |