| NPI | 1083114730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011037) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014463A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011037) | |
| 363L00000X Nurse Practitioner (Licence: OH 0032484) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-11-07 |