| NPI | 1154071264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4044149) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1214857) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 327525) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 113014) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5024121) | |
| 405300000X Prevention Professional (Licence: OH 0000837) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-03-18 |