| NPI | 1023201944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP15860) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28108574A) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184266) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2023-11-03 |