| NPI | 1306365382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1093957) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022301) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71011574A) | |
| 163W00000X Registered Nurse (Licence: OH RN.384554) | |
| 163W00000X Registered Nurse (Licence: IN 28266398A) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2023-12-13 |