| NPI | 1154786937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000032244) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA F1015311) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH F1015311) | |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2025-10-30 |