| NPI | 1114434644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34660) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022030) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011860) | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2024-02-16 |