| NPI | 1184059511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17201-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005358A) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2022-07-21 |