| NPI | 1154845931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 021263) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 272250) |
| 363L00000X Nurse Practitioner (Licence: AL 272250) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11017412) | |
| 363L00000X Nurse Practitioner (Licence: IL 209024961) | |
| 363L00000X Nurse Practitioner (Licence: TX 1067480) | |
| 363L00000X Nurse Practitioner (Licence: TN 33034) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2024-04-12 |