| NPI | 1346707437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC APN.28232) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV APRN91178) |
| 363L00000X Nurse Practitioner (Licence: KY 4008428) | |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.024215) | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2024-09-04 |