| NPI | 1295901023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167598) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034536) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 27715) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2023-11-29 |