| NPI | 1346921988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034510) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022946) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 30950) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP034034) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041929) | |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2025-10-15 |