| NPI | 1346707437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC APN.28232) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4008428) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024215) | |
| 207Q00000X Family Medicine (Licence: WV APRN91178) | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2025-11-11 |