| NPI | 1194156935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18150) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 026093) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2026018534) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A190332) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1232403) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-000018) | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2026-05-06 |