| NPI | 1215447826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 114821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28244883A) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: KY 1141752) | |
| 163W00000X Registered Nurse (Licence: OH 424853) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 424853) | |
| 163WX0200X Registered Nurse, Oncology (Licence: NE 75570) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3017147) | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2023-10-09 |