| NPI | 1326519828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023512) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 122334) |
| 207Q00000X Family Medicine (Licence: FL APRN11041616) | |
| 207Q00000X Family Medicine (Licence: MD AC005663) | |
| 207Q00000X Family Medicine (Licence: IN 71015498A) | |
| 207Q00000X Family Medicine (Licence: MA RN2378857) | |
| 207Q00000X Family Medicine (Licence: VA 0024188929) | |
| 207Q00000X Family Medicine (Licence: OH 359827) | |
| 207Q00000X Family Medicine (Licence: KY 3017179) | |
| Enumeration Date | 2018-12-09 |
| Last Update Date | 2026-01-05 |