| NPI | 1093151136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18402-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28172208A) |
| 163W00000X Registered Nurse (Licence: OH RN.420665-1) | |
| 163W00000X Registered Nurse (Licence: VA 0001309564) | |
| 363L00000X Nurse Practitioner (Licence: IN 71004540A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183897) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2023-12-11 |