| NPI | 1366641482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28130360A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028368) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 34044) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1041921) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3014821) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704356714) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2023-10-03 |