| NPI | 1013416973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037988) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3018092) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2025-09-15 |