| NPI | 1235647033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022195) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192070) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4040920) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71016538A) | |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2025-09-19 |