| NPI | 1366042962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027716) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2026009724) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 88423) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OH APRN.CNP.0027716) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002907) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0106185-C-NP) | |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2026-04-08 |