| NPI | 1235962531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024197319) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11046506) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4058924) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN10043633) | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2026-06-22 |