| NPI | 1053382267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 23913) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH NP-05484) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 17139457) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-01-07 |