| NPI | 1275183170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3014322) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71013552A) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024467) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2023-04-28 |